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Individual

ALEXANDER K BOEHME

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPO

Contact information

Practice address
1101 W VICKERY BLVD, FORT WORTH, TX 76104-1025
(168) 230-3763
Mailing address
PO BOX 99283, FORT WORTH, TX 76199-1383
(682) 885-6294
(682) 885-5606

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
1974
TX
224P00000X
Prosthetist
Primary
1974
TX

Other

Enumeration date
04/24/2024
Last updated
05/15/2024
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